|本期目录/Table of Contents|

[1]赵 允,李冬超,胡文晋.关节镜下治疗交叉韧带囊肿的临床研究[J].天津医科大学学报,2018,24(05):448-451.
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关节镜下治疗交叉韧带囊肿的临床研究(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
24卷
期数:
2018年05期
页码:
448-451
栏目:
临床医学
出版日期:
2018-09-20

文章信息/Info

Title:
-
作者:
赵 允李冬超胡文晋
天津市中医药研究院附属医院骨科,天津 300120
Author(s):
-
关键词:
膝关节交叉韧带囊肿关节镜
Keywords:
-
分类号:
R68
DOI:
-
文献标志码:
A
摘要:
目的:探讨交叉韧带囊肿的发病、治疗,并评估关节镜手术疗效。方法:采用关节镜下囊肿切除术治疗交叉韧带囊肿35例,其中男22例,女13例,年龄17~44岁,平均(30.4±7.1)岁。所有患者均为单侧发病,左膝15例,右膝20例。其中32例患者纳入随访研究,所有患者均以疼痛伴伸屈功能受限为主要症状,32例患者中,单纯伸直受限20例(62.5%),伸直屈曲均受限4例(12.5%),单纯屈曲受限8例(25%)。术后对症治疗并指导功能锻炼。术后随访并测量患肢伸屈受限角度,收集VAS评分,Lysh?觟lm评分及查体情况来评估手术疗效,转科查体来评估关节稳定性。结果:32例患者获得随访,平均随访时间(38.5±9.4)个月(17~51个月)。膝关节屈伸受限角度由术前(11.62± 3.52)°逐渐减小,至术后半年时基本稳定(0.97±1.13)°;末次随访VAS 评分由术前(5.75±1.32)分下降至(1.13±1.36)分,差异有统计学意义(t=13.44,P=0.00);Lysh?觟lm评分由(50.13±11.57)分增至术后(91.97±3.04)分,手术前后对比差异有统计学意义(t=-20.20,P=0.00);术后专科查体未显示关节失稳。结论:交叉韧带囊肿临床易于诊断,其发病可能由多种因素引起,关节镜下囊肿切除术能有效改善临床症状。
Abstract:
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参考文献/References:


[1] Krudwig W K, Schulte K K, Heinemann C. Intra-articular ganglion cysts of the knee joint: a report of 85 cases and review of the literature[J]. Knee Surg Sports Traumatol Arthrosc, 2004, 12(2): 123
[2] Surendran S, Park S E, Lee H K, et al. Haemorrhagic synovial cyst of the posterior cruciate ligament: a case report[J]. Knee, 2007, 14(1): 55
[3] Caan P. Cyst formation( ganglion) in an anterior cruciate ligament of the knee[J]. Dtsch Z Chir,1924,186: 403
[4] Yu H C, Wen H, Zhang Y, et al. Arthroscopic treatment of symptomatic anterior cruciate ligament cysts of the knee[J]. Zhongguo Gu Shang, 2014, 27(8): 638
[5] Parish E N, Dixon P, Cross M J. Ganglion cysts of the anterior cruciate ligament: a series of 15 cases[J]. Arthroscopy, 2005, 21(4): 445
[6] See P P, Peh W C, Wong L Y, et al. Clinics in diagnostic imaging (129). Posterior cruciate ligament ganglion cyst[J]. Singapore Med J, 2009, 50(11): 1102
[7] Zantop T, Rusch A, Hassenpflug J, et al. Intra-articular ganglion cysts of the cruciate ligaments: case report and review of the literature[J]. Arch Orthop Trauma Surg, 2003, 123(4): 195
[8] Li J, Li Z L, Liao W X, et al. Clinical research on arthroscopic treatment for cruciate ligament cysts of the knee[J]. Zhongguo Gu Shang, 2016, 29(3): 261
[9] Mao Y, Dong Q, Wang Y. Ganglion cysts of the cruciate ligaments: a series of 31 cases and review of the literature[J]. BMC Musculoskelet Disord, 2012, 13 : 137
[10] García-Alvarez F, García-Pequerul J M, Avila J L, et al. Ganglion cysts associated with cruciate ligaments of the knee: a possible cause of recurrent knee pain[J]. Acta Orthop Belg, 2000, 66(5): 490
[11] Demircay E, Ofluoglu D, Ozel O, et al. Simultaneous bilateral ganglion cysts of the anterior cruciate ligaments[J]. Singapore Med J, 2015, 56(4): e59
[12] Son J Y, Yoon Y C, Jin W, et al. The prevalence and characteristics of a subcortical cystic lesion at the subspinous region of the knee[J]. Acta Radiol, 2018, 59(1): 97
[13] Makino A, Pascual-Garrido C, Rolon A A, et al. Mucoid degeneration of the anterior cruciate ligament: MRI, clinical, intraoperative, and histological findings[J]. Knee Surg Sports Traumatol Arthrosc , 2011, 19(3): 408
[14] Liu Y, Wang J C, Shi X M, et al. Treating knee joint cruciate ligament cysts under arthroscopy[J]. Zhonghua Guan Jie Wai Ke Za Zhi:Dian Zi Ban, 2010, 4(4): 546
[15] Cha J R, Lee C C, Cho S D, et al. Symptomatic mucoid degeneration of the anterior cruciate ligament[J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(3): 658
[16] Hameed S A, Sujir P, Naik M A, et al. Ganglion cyst of the posterior cruciate ligament in a child[J]. Singapore Med J, 2012, 53(4): e80
[17] Huang G S, Lee C H, Chan W P, et al. Ganglion cysts of the cruciate ligaments[J]. Acta Radiol, 2002, 43(4): 419
[18] Vilella G M, Guerrisi P, Lucignani G, et al. Ultrasound-guided aspiration and steroid injection of a posterior cruciate ligament ganglion cyst: report of a case[J]. J Ultrasound, 2015, 18(3): 283
[19] Tsai T Y, Yang Y S, Tseng F J, et al. Arthroscopic excision of ganglion cysts of the posterior cruciate ligaments using posterior Trans-Septal portal[J]. Arthrosc J Arthrosc Related Surg, 2012, 28(1): 95
[20] Pandey V, Suman C, Sharma S, et al. Mucoid degeneration of the anterior cruciate ligament: Management and outcome[J]. Indian J Orthop, 2014, 48(2): 197

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备注/Memo

备注/Memo:
作者简介 赵允(1973-),男,主治医师,学士,研究方向:关节外科;E-mail:13920190627@139.com。
更新日期/Last Update: 2018-09-30